Jan 01, 2012 · The most common multi-fetal pregnancy is twins, but mothers have given birth to up to eight children (octuplets) from a single pregnancy. Multiple fetuses can result from the release of multiple eggs or multiple ovulations, the splitting of a single fertilized egg, or fertility treatments such as in vitro fertilization (IVF), which involves the insertion of many fertilized eggs into the mother’s uterus.
The most common complication for a multiples birth is premature labor. Learn what you need to know for a healthy pregnancy journey.Estimated Reading Time: 2 mins
The numbers of multiple births have increased over the last twenty years. This increase is primarily due to the fact that one-third of women who are having babies are over the age of thirty, and these women are more likely to conceive multiples. Another reason for the increase in multiple births is due to fertility drugs and fertility procedures. There are two basic types of multiples: identical/monozygotic and …
The average duration is 35 weeks for twins, 33 weeks for triplets, and 30 weeks for quadruplets. Di - two; zygote - fertilized egg. In vitro fertilization IVF. Retrieved 15 October Ultrasound of the Week. Retrieved 5 May The theme occurs in other mythologies as well, and is called superfecundation. Women expecting a multiple birth will need to see their health care provider more frequently than if they were having a single pregnancy. Financial stresses are common, due to the additional costs of feeding, clothing, housing, and caring for multiple children. An oral anti-estrogen drug used to induce ovulation in the female. Higher-order multiples triplets, quadruplets, etc. Since multiple pregnancies and their complications are an inevitable risk of fertility therapies, education about these risks is crucial prior to treatment. Preeclampsia, also known as toxemia, occurs 2 to 5 times more often in multiple pregnancies. If you are expecting more than one baby, you may choose to have an elective caesarean section from the outset of your pregnancy. Many physicians who manage multiple pregnancies believe that a reduction in activities and increased rest prolongs these pregnancies and improves outcomes. Fraternal multiples each have a separate placenta and amniotic sac. How are Multiple Births Delivered? These include:. For the American film, see Sextuplets film. Preterm labor and birth pose the greatest risk to a multiple pregnancy. The Straits Times. Penn State University. Multiple pregnancies are also classified by how the fetuses are surrounded by one or more placentas and amniotic sacs. While multifetal pregnancy reduction carries some risk of a complete miscarriage, it also reduces the chances of extreme premature birth. Another well-known set of sextuplets is the Gosselin sextuplets , born on May 10, , in Hershey, Pennsylvania. Multifetal pregnancy reduction is the reduction of one or more embryos from the bearing woman. Placental Problems The placenta is attached to the wall of the uterus, and the fetus is attached to the placenta by the umbilical cord. During pregnancy, the placenta normally produces hormones that antagonize insulin. Preeclampsia Preeclampsia, also known as toxemia, occurs 2 to 5 times more often in multiple pregnancies. Ultrasound examinations in the second trimester can identify some birth defects. Views Read Edit View history. It provides nourishment to the fetus and carries away waste. Taiwanese Journal of Obstetrics and Gynecology. PMC Bed rest improves uterine blood flow and may be helpful for fetal growth problems. The procedure aims to reduce pregnancies down to approximately one to two fetuses. You may know someone who has twins, but do you know how twins occur and how they develop? The overarching purpose of the procedure is not primarily to simply terminate life, but to increase the survival and success of the mother and babies. Subscription or participating institution membership required. Multiple pregnancies are a known complication of ovulation stimulation drugs. Voice of America. ISSN It is intended solely as an aid for patients seeking general information on issues in reproductive medicine. Uterus womb. Higher weight gain is also recommended for multiple pregnancy. There are three classifications of multi-fetal pregnancies: dizygotic, monozygotic, and polyzygotic. While physicians can transfer two embryos and still maintain acceptable pregnancy rates, the transfer of one embryo is associated with good pregnancy rates in certain patient groups, thereby resolving the problem of multiple pregnancies caused by multiple embryo transfer. Play media. Weight Gain With Twins You have just discovered that you are having a multiple pregnancy. The protection of maternal well being versus harm of newly formed fetal life is an extension of the aforementioned ethical question. Views Read Edit View history. Look up twin , triplet , quadruplet , or quintuplet in Wiktionary, the free dictionary. Retrieved 15 February Fetal Diagnosis and Therapy. Retrieved 18 June
If you are expecting multiple babies, you'll have various birth options to consider. Read on to find out about planning for a vaginal or caesarean birth. It is unusual for multiple pregnancies to go beyond 38 weeks, so if you are expecting a twin birth or more than two babies you will need to consider your options early. People often assume that if you are expecting more than one baby they must be born by caesarean section. In fact, almost half of all twins are born vaginally and the process is similar to having a single baby. If the first baby is in a head down position, it's usual to consider having a vaginal delivery. However, there may be other medical reasons why this would not be possible. For example, if you have had a previous caesarean section, you're usually not recommended to have a vaginal birth with twins. If planning a vaginal delivery, it is usually recommended that the mother has an epidural for pain relief. This is because if assistance with delivery is needed, it's easier and quicker when the mother already has an epidural in place. If you have a vaginal birth, you may need an assisted birth, when a suction cup ventouse or forceps are used to help deliver the baby. If you are expecting more than one baby, you may choose to have an elective caesarean section from the outset of your pregnancy. Alternatively, your doctor may recommend a planned caesarean section later in the pregnancy as a result of potential complications. If the presenting first baby is in a breech position feet, knees or buttocks first or if one twin is lying in a transverse position with its body lying sideways , you will have to have a caesarean section. Some other conditions might also mean you will need a caesarean section, for example if you have placenta praevia a low-lying placenta or if your twins share a placenta. If you have previously had a very difficult delivery with a single baby, you may also be advised to have a caesarean section with twins. Even if you plan a vaginal delivery, you may end up having an emergency caesarean section. This could be because. In very rare cases, you may deliver one twin vaginally and then require a caesarean section to deliver the second twin if the baby becomes distressed. As multiple pregnancies are generally less likely to carry to full term, parents expecting more than one baby should be prepared for the possibility that their babies may come early and spend some time in a neonatal intensive care unit. These can sometimes be quite upsetting places to begin with, and parents can think their babies look small and vulnerable amongst all the technology. It may be a good idea to try to visit the neonatal intensive care unit on a hospital tour during your pregnancy to prepare yourself for the possibility that your babies may spend some time here. Although the thought of having premature babies may be worrying, studies have shown that premature multiples mature more quickly than single babies born at a similar time and multiples are often better equipped for early starts. Some premature babies may only need a short stay with little medical treatment. Our support line offers practical and emotional support with feeding your baby and general enquiries for parents, members and volunteers: We also offer antenatal courses which are a great way to find out more about pregnancy, labour and life with a new baby. NHS choices also provide information on delivering twins. When it comes to content, our aim is simple: every parent should have access to information they can trust. All of our articles have been thoroughly researched and are based on the latest evidence from reputable and robust sources. We create our articles with NCT antenatal teachers, postnatal leaders and breastfeeding counsellors, as well as academics and representatives from relevant organisations and charities. Read more about our editorial review process. Preparation for multiple births. Read time 4 minutes. Email Post Tweet Post. Vaginal delivery of more than one baby People often assume that if you are expecting more than one baby they must be born by caesarean section. Caesarean section for multiple births If you are expecting more than one baby, you may choose to have an elective caesarean section from the outset of your pregnancy. Special care As multiple pregnancies are generally less likely to carry to full term, parents expecting more than one baby should be prepared for the possibility that their babies may come early and spend some time in a neonatal intensive care unit. Further information Our support line offers practical and emotional support with feeding your baby and general enquiries for parents, members and volunteers: Information you can trust from NCT When it comes to content, our aim is simple: every parent should have access to information they can trust. Share this. Related articles. Baby First Aid Find out more. Leave this field blank. Support NCT Charity by becoming a member. Join today. Sign up for free.
The duration of a normal singleton pregnancy ranges from 37 weeks to 42 weeks from the time of the last menstrual period. Method of Delivery Vaginal delivery of twins may be safe in some circumstances. The fluid-filled sac surrounding an embryo that develops within the uterine cavity. Main article: List of twins. Archived from the original on 19 August Fraternal twins. This is because if assistance with delivery is needed, it's easier and quicker when the mother already has an epidural in place. Monozygotic multiples are uncommon and require that the single fertilized egg splits once, then one of the zygotes splits again for triplets, or another zygote may split once more for quadruplets. El Mundo. Since preterm labor and birth present such serious risks, the pregnant mother must understand the warning signs of early labor. Archived from the original on 9 March Archived from the original on 29 September Amniotic fluid Amniotic sac Endometrium Placenta. The theme occurs in other mythologies as well, and is called superfecundation. However, multifetal pregnancy reduction raises some ethical questions. Share this post:. An unborn child. In Ancient Rome, the legend of the twin brothers who founded the city Romulus and Remus made the birth of twin boys a blessing, while twin girls were seen as an unlucky burden, since both would have to be provided with an expensive dowry at about the same time. Retrieved 30 June The birth rate for triplets and other higher-order multiples has also risen dramatically, but has slowed since Cervical cerclage — Cerclage a procedure used to suture shut the cervical opening is used for women with cervical insufficiency. The records for all the triplet pregnancies managed and delivered from to were looked over to see what the neonatal statistics were. Di - two; zygote - fertilized egg. Sunday Night. Women with multiple pregnancies are more likely to develop gestational diabetes during pregnancy. Of the babies were admitted to neonatal intensive care after the delivery. A study by the U. Typically, you'll see your provider every two to three weeks during the first trimester of a multiple pregnancy, the American Pregnancy Association says. Each of these appears to be rare. If planning a vaginal delivery, it is usually recommended that the mother has an epidural for pain relief. What Causes Multiple Birth? Download as PDF Printable version. Archived from the original on 5 March Multiple Births. The occurrence of identical multiples is considered a random event and is not influenced by age, race, or heredity. Selective reduction was developed in the mids, as people in the field of assisted reproductive technology became aware of the risks that multiple pregnancies carried for the mother and for the fetuses. News articles and other non-scientific organizations give odds from one in 60, to one in million pregnancies. Spokane Chronicle. World Higher Multiples. There is an increased need for maternal nutrition in multiple pregnancies. A literary review on multiple pregnancies shows a study done on one set each of septuplets and octuplets, two sets of sextuplets, 8 sets of quintuplets, 17 sets of quadruplets, and sets of triplets. These multiples would all be the same gender and look alike. Reproductive BioMedicine Online. Archives of Gynecology and Obstetrics. In the United States, physicians and patients jointly decide how many embryos to transfer. TV Sorrisi e Canzoni in French. Preeclampsia, also known as toxemia, occurs 2 to 5 times more often in multiple pregnancies. Also known as selective reduction. IVF is generally performed in conjunction with medications that stimulate the ovaries to produce multiple eggs in order to increase the chances of successful fertilization and implantation. The Institute of Medicine recommends that women carrying twins who have a normal body mass index should gain between 37 and 54 pounds. December Learn how and when to remove this template message. Archived from the original on 22 November What to Expect. Archived from the original on 27 December
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